KEGAN REILLY (NPI# 1669876561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669876561 |
| Entity Type | Individual |
| Full Name | KEGAN REILLY |
| Credential | PA-C |
| Practice Address |
9430 Park West Blvd Ste 130 Knoxville TN 37923-4205 |
| Mailing Address |
5005 N Piedras St Wbamc El Paso TX 79920-5001 |
| Practice Telephone | 8656904861 |
| Practice Fax Number | 8655608525 |
| Mailing Telephone | 9155694890 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2018-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3232 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5005 N Piedras St, Wbamc, El Paso, TX 799205001 | 9155694890 |
| Street Address |
9430 PARK WEST BLVD STE 130 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063498392 | Harold E Cates Jr. | Orthopaedic Surgery | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2005-12-19 |
| 1427609387 | Laura E Mowell | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2019-09-23 |
| 1194214932 | Ashley Ann Hethcoat | Nurse Practitioner | 9430 Park West Blvd Ste 130, Knoxville, TN 37923 | 2018-05-08 |
| 1184120693 | Ashlee Danielle Simpson | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2018-04-03 |
| 1396254132 | Christopher Cody Sawyers | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2017-09-25 |
| 1578080685 | Taylor Boone Conley | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923 | 2017-08-29 |
| 1740729250 | Ashton L Davis | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923 | 2017-02-16 |
| 1699140673 | Austin G Bigney | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2015-12-02 |
| 1780094680 | Kelley Ramey Cunningham | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2014-04-30 |
| 1265859961 | Christopher Dale Lezu | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2014-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198061 | John Intemann | Physician Assistant | 2708 Swafford Rd, Knoxville, TN 37932-1311 | 2020-09-13 |
| 1942839311 | Melissa Joanne O'neill | Physician Assistant | 814 Landings River Way Unit 301, Knoxville, TN 37915-1444 | 2020-04-07 |
| 1447895370 | Keiana Skinner | Physician Assistant | 2206 Finley Cane Ln, Knoxville, TN 37932-1572 | 2019-11-14 |
| 1780231068 | Kaycee Heitzman | Physician Assistant | 3055 W Gallaher Ferry Rd, Knoxville, TN 37932-1022 | 2019-08-21 |
| 1366009169 | John Powell Williams Iv | Physician Assistant | 501 19th St Ste 503, Knoxville, TN 37916-1874 | 2019-05-28 |
| 1508423369 | Bradley-james Ryan Faulkner | Physician Assistant | 1924 Pinnacle Pointe Way Ste 100, Knoxville, TN 37922-3700 | 2019-05-28 |
| 1316406499 | David M Beauchamp | Physician Assistant | 10714 Silver Leaf Way Apt 104, Knoxville, TN 37931-2758 | 2019-03-18 |
| 1568920593 | Richard Ervin Birmingham II | Physician Assistant | 304 Bagwell Rd, Knoxville, TN 37924-2813 | 2019-03-08 |
| 1710443080 | Devon Meske Herrin | Physician Assistant | 6484 Kingston Pike, Knoxville, TN 37919-4863 | 2019-02-12 |
| 1780149070 | Shelby Paige Bean | Physician Assistant | 7661 Red Bay Way, Knoxville, TN 37919-4722 | 2019-01-31 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.